MEDICARE: CLAUDIA ESTEFANIA PERERA BARGES CBHCMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	CBHCMS.0102747	FL
2	104100000X	Social Worker	CBHCMS.0102747	FL

General Provider Information

NPI Number	:	1912713306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA ESTEFANIA PERERA BARGES CBHCMS

Provider Business Mailing Address
First Line	:	4670 W 13TH LN APT 501
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3250
Country	:	US
Telephone Number	:	786-342-9889
Fax Number	:

Provider Business Practice Location Address
First Line	:	4670 W 13TH LN APT 501
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3250
Country	:	US
Telephone Number	:	786-342-9889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/10/2024

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